| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.90 | $75.90 | $76.08 | |
Aetna
| Professional | $75.90 | $75.90 | $170.56 | |
Cigna
| Professional | $75.91 | $75.91 | $75.91 | |
Highmark BCBS
| Facility | $70.89 | $70.89 | $70.89 | |
United
| Professional | $75.73 | $92.79 | $113.87 |